Healthcare Provider Details
I. General information
NPI: 1669782140
Provider Name (Legal Business Name): OHC OF SW OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2010
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7601 PARAGON RD
WASHINGTON TOWNSHIP OH
45459-4074
US
IV. Provider business mailing address
28315 KENSINGTON LN
PERRYSBURG OH
43551-4177
US
V. Phone/Fax
- Phone: 419-843-4422
- Fax: 419-843-4442
- Phone: 419-843-4422
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSH
ADAMS
Title or Position: CEO
Credential:
Phone: 419-843-4422